Alexandria Brook Mansoorov, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-149900 Issued in AL

Practice address

201 Governors Dr
Suite 400
Huntsville, AL 35801-5183

Phone

(256) 265-7246

NPI assigned

Jan 20, 2023

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Tennessee Valley Pain CenterGroup PAC ID 4587075783, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HH Tennessee Valley Pain Center

  • Pain Medicine Physician
  • Huntsville, AL
  • NPI 1639709710
  Medicare reassignment Care Compare group NPD
• Tennessee Valley Pain Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1730548264
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1821703109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SWEARENGIN RD",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357477763",
            "telephone_number": "256-572-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR",
            "address_2": "SUITE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015183",
            "telephone_number": "256-265-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOROV",
        "first_name": "ALEXANDRIA",
        "middle_name": "BROOK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-149900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas Blake Mann, LPTA
• Amy Mannahan
• Samantha Manning
• Trunecia A Manning, LPN
• Zachary Manning, MD
• Kristen Marie Manthey, CRNA
• Manuel Pouparina MD LLC
• Andrea M Maples, MSPT
• Brandy Noelle Maples, ATC/L
• Robert Allan Maples, M.D.

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.